Smith E F
Nurs Clin North Am. 1984 Sep;19(3):471-83.
The primary physiologic effect of coarctation of the aorta and aortic stenosis is impedence of blood flow out of the left ventricle, producing left ventricular strain. If unchecked, this progresses on a continuum leading to left-sided failure. Patients are asymptomatic in their younger years. With time, both defects progressively worsen, and may require surgical intervention in the teenage or adult years. While early and late postoperative results are quite good, these patients with obstructive lesions need continued medical and nursing follow-up throughout their adult years.
主动脉缩窄和主动脉狭窄的主要生理效应是阻碍左心室的血液流出，导致左心室劳损。如果不加以控制，这种情况会持续发展，最终导致左侧心力衰竭。患者在年轻时通常没有症状。随着时间的推移，这两种缺陷会逐渐恶化，在青少年或成年期可能需要手术干预。虽然术后早期和晚期结果都相当不错，但这些患有阻塞性病变的患者在成年后的整个阶段都需要持续的医疗和护理随访。
